|
Currently our ID docs like a trough to be between 15 and 20
as long as the BUN and Cr look good. Everything I'm hearing is the 5-10 is
"old school" and ID now recommends much higher levels, however the literature
hasn't caught up with the times I guess! Have a difficult time convincing
other docs to leave doses alone with troughs of 13 or
14. From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Rakay Dance Sent: Friday, December 23, 2005 2:39 PM To: [EMAIL PROTECTED]; [EMAIL PROTECTED] Subject: vancomycin levels I know this topic came through
recently but what is everyone using for okay peaks and troughs with
vancomycin—it seems like they were running higher and being okay. Right
now our normals are 30-40 for a peak and 5-10 for a trough. I have a
patient with chronic infection with a 39 peak and 10.7 trough and I’m not sure
we want it any lower. BUN and serum creatnine are really good.
RaKay |
